Diabetes With Steroids

Question

My Father is 68 years of age (CKD, Hypertension, CABG(2008)) was diagnosed with IPF recently. He was prescribed with Prednisolone with high dosage (45mg/day for 30 days) initially and then reduced dosage in subsequent months to 30 mg (30 days) and 15 mg (30 days) respectively. He is experiencing High Suger levels now and HBA1c has also reached to a value of 7.8 . He didn't have diabetes before. Please suggest.

Post Comment

Awais Masood · Answer

Needs to be initiated on life style therapy treatment ( usually combination of metformin with sitagliptin +/- sulfonylurea).
He also needs screening (DEXA scan) and medication for prevention of glucocorticoid induced osteoporosis .
Please see a good general practitioner or an Endocrinologist of your choice.
Thanks
AM

>

Asst. Prof. Dr. Maliha Hameed · Answer

HbA1c is in the diabetic range. Monitor his blood sugars and see me

Post Owner · Answer

Many Thanks for the responses Dr. Awais and Dr. Maliha. Really appreciated.

Could you please also help in regards to how can we find out if this Steroid induced Diabetes is permanent or Temporary (can be back to normal if steroids are stopped).

Zaar · Answer

m

Dr. Muhammad Tabish Raza · Answer

This is steroid induced DM and generally ameliorate if Pt is not previously diabetic by reducing dose of steroids, it is treated same way as regular DM , if HBa1c >9 insulin should be preferred

Book Video Consultation

Talk to Endocrinologist on Diabetes With Steroids

Awais Masood -

|

Asst. Prof. Dr. Maliha Hameed - Endocrinologist

MBBS, FCPS (Medicine), FCPS (Endocrinology) | Lahore

164 Positive Reviews

Zaar -

|

Dr. Muhammad Tabish Raza - Endocrinologist

MBBS,MD,(USA), FCPS (Internal Medicine) FCPS (Fellow Diabetes Endocrinology & Metabolism) | Lahore

41 Positive Reviews

One-to-One Chat with Doctor

Get Appointment with Endocrinologist

Diseases releated to Endocrinologist

Services releated to Endocrinologist

Find the Questions asked in Other Categories